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General NPI Number Information
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NPI Number | 1619091667
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Entity Type | Organization
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Legal Business Name | LANSDOWNE FAMILY CHIROPRACTIC CENTER INC.
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 19465 DEERFIELD AVE SUITE 108
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City | LANSDOWNE
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State | VA
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Zip | 20176-8446
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Country | US
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Telephone | 703-723-4333
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Fax | 703-723-4343
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Provider Business Mailing Address
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Address Line | 19465 DEERFIELD AVE SUITE 108
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City | LANSDOWNE
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State | VA
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Zip | 20176-8446
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Country | US
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Telephone | 703-723-4333
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Fax | 703-723-4343
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KEVIN ALAN DUKE
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Credential | D.C.
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Telephone | 703-723-4333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 0104555588
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License Number State | VA
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